Organization Active NPI

Konk Pharmacy Inc

Doing business as KONK Pharmacy Inc LTC

  • Long Term Care Pharmacy
  • Brooklyn, NY
National Provider Identifier
1548004237
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KONK PHARMACY INC
Doing business as
KONK Pharmacy Inc LTC
Practice address
2002 Cropsey Ave
Brooklyn, NY 11214-6203
Phone
(718) 373-4800
Fax
(718) 373-4848
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
333600000XAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alex KorikNPI 1760891410
Title
President
Phone
(718) 373-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

2002 Cropsey Ave
Brooklyn, NY 11214-6203

Mailing address

2002 Cropsey Ave
Brooklyn, NY 11214-6203
Phone (718) 373-4800

Other names 1

  • KONK Pharmacy Inc LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Konk Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Konk Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1548004237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146203",
            "telephone_number": "718-373-4800",
            "fax_number": "718-373-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146203",
            "telephone_number": "718-373-4800",
            "fax_number": "718-373-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONK PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "333600000X",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "KORIK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-373-4800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KONK Pharmacy Inc LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.